Upper Blepharoplasty
The appearance of "tired eyes" with overhanging upper eyelid skin has led patients to seek correction, most often by removing the excess. This is a relatively simple procedure with minimal discomfort, short 'down time' and favorable outcome.
Occasionally, drooping of the outer part of the eyebrow (brow ptosis) may contribute to this appearance and where necessary correction may be indicated. Aggressive treatment by excision of excess upper eyelid skin alone for the treatment of tired eyes in the presence of brow ptosis is inadequate, counterproductive, and seldom leads to any marked improvement in the condition. In this case an upper blepharoplasty should be performed in conjunction with a lift of the outer part of the eyebrow to achieve the best results.